Cancino, Jennifer

Cancino, Jennifer is an individual health care provider with primary practice located at 7211 Bank Ct , Frederick MD 21703-8483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cancino, Jennifer can be contacted via phone (240) 215-6370.

Contact Information

Primary practice address
7211 Bank Ct Frederick MD 21703-8483
Phone: (240) 215-6370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0058038 Maryland

Profile Details

NPI number 1780676353
LBN Legal business name Cancino, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780676353 NPPES
Other W590-0003 CAREFIRST BCBS GHMSI
Other 613037-01 CAREFIRST BCBS GHMSI
Other 1989337 CAREFIRST BCBS GHMSI
Other 2600321 CAREFIRST BCBS GHMSI

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